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- Sperimentazione clinica NCT07692139
Comparison of I-gel and SaCoVLM in Laparoscopic Cholecystectomy
Comparison of Airway Performance Between I-gel and SaCoVLM in Patients Undergoing Elective Laparoscopic Cholecystectomy: A Prospective Observational Study
Panoramica dello studio
Stato
Descrizione dettagliata
Laparoscopic surgery requires the creation of pneumoperitoneum and frequently involves patient positioning changes, both of which can increase intrathoracic and airway pressures. These physiological changes may affect the performance of supraglottic airway devices and challenge effective ventilation.
Second-generation supraglottic airway devices are increasingly used as alternatives to endotracheal intubation in laparoscopic procedures because they provide effective ventilation while reducing airway-related complications. The i-gel is widely used due to its ease of insertion, integrated gastric drainage channel, and favorable safety profile. The SaCoVLM (Video Laryngeal Mask) is a novel supraglottic airway device that enables direct visualization of laryngeal structures during placement, allowing confirmation of optimal positioning and potentially improving airway management.
This prospective observational study will compare the i-gel and SaCoVLM in adult patients undergoing elective laparoscopic cholecystectomy under general anesthesia. Ventilation performance, airway sealing pressure, insertion success, ease of placement, hemodynamic responses, and perioperative airway-related complications will be assessed. The findings may provide further evidence regarding the clinical performance and safety of these devices during laparoscopic surgery.
Tipo di studio
Iscrizione (Stimato)
Contatti e Sedi
Contatto studio
- Nome: Hatice Selçuk Kuşderci
- Numero di telefono: 505 215 98 96
- Email: drkusderci@hotmail.com
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Metodo di campionamento
Popolazione di studio
Descrizione
Inclusion Criteria:
- Age between 18 and 70 years.
- American Society of Anesthesiologists (ASA) physical status I-III.
- Patients scheduled for elective laparoscopic cholecystectomy.
- Patients undergoing general anesthesia.
- Patients who provide written informed consent.
Exclusion Criteria:
-
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
Coorti e interventi
Gruppo / Coorte |
|---|
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Group I: i-gel group
Patients receiving airway management with the i-gel supraglottic airway device
|
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Grup II: SaCoVLM
Patients receiving airway management with the SaCoVLM supraglottic airway device
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Oropharyngeal Leak Pressure (OLP)
Lasso di tempo: After device insertion and after pneumoperitoneum creation during surgery.
|
Oropharyngeal leak pressure (OLP) will be measured and compared between the i-gel and SaCoVLM groups to evaluate airway sealing performance during elective laparoscopic cholecystectomy..
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After device insertion and after pneumoperitoneum creation during surgery.
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
First-Attempt Insertion Success Rate
Lasso di tempo: During device insertion procedure
|
The proportion of patients in whom the supraglottic airway device is successfully inserted on the first attempt.
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During device insertion procedure
|
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Device Insertion Time
Lasso di tempo: During device insertion procedure
|
The time required for successful placement of the supraglottic airway device, measured from device insertion into the oral cavity until effective ventilation is achieved.
|
During device insertion procedure
|
|
Gastric Tube Insertion Success Rate
Lasso di tempo: Immediately following successful placement of the supraglottic airway device before initiation of mechanical ventilation
|
The proportion of patients in whom the gastric tube is successfully inserted through the gastric drainage channel of the device.
|
Immediately following successful placement of the supraglottic airway device before initiation of mechanical ventilation
|
|
Peak Airway Pressure (PAP)
Lasso di tempo: 5 minutes after pneumoperitoneum is established.
|
Peak airway pressure values measured during mechanical ventilation and compared between study groups
|
5 minutes after pneumoperitoneum is established.
|
|
End-Tidal Carbon Dioxide (EtCO₂)
Lasso di tempo: Throughout laparoscopic surgery.
|
End-tidal carbon dioxide values measured during surgery and compared between study groups.
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Throughout laparoscopic surgery.
|
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Postoperative Sore Throat
Lasso di tempo: Within 24 hours after surgery.
|
The incidence of postoperative sore throat following removal of the supraglottic airway device.Postoperative sore throat severity assessed using an 11-point Numeric Rating Scale (NRS)
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Within 24 hours after surgery.
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Hoarseness
Lasso di tempo: Within 24 hours after surgery.
|
The incidence of postoperative dysphagia following airway device use.
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Within 24 hours after surgery.
|
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Blood Staining and Mucosal Trauma
Lasso di tempo: Immediately after device removal.
|
The incidence of blood staining on the device and evidence of mucosal trauma after device removal.
|
Immediately after device removal.
|
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Hemodynamic Parameters
Lasso di tempo: Baseline, immediately after device placement, 5 minutes after device placement, 5 minutes after pneumoperitoneum, 15 minutes after pneumoperitoneum, and at the end of surgery.
|
Heart rate (beats per minute [bpm]) will be recorded at baseline, immediately after supraglottic airway device placement, 5 minutes after device placement, 5 minutes after pneumoperitoneum, 15 minutes after pneumoperitoneum, and at the end of surgery.
Mean heart rate values will be compared between the i-gel and SaCoVLM groups.Systolic blood pressure (millimeters of mercury [mmHg]) will be recorded at baseline, immediately after supraglottic airway device placement, 5 minutes after device placement, 5 minutes after pneumoperitoneum, 15 minutes after pneumoperitoneum, and at the end of surgery.
Mean systolic blood pressure values will be compared between the i-gel and SaCoVLM groups.Mean arterial pressure (millimeters of mercury [mmHg]) will be recorded at baseline, immediately after supraglottic airway device placement, 5 minutes after device placement, 5 minutes after pneumoperitoneum, 15 minutes after pneumoperitoneum, and at the end of surgery.
Mean arterial pressure values will be
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Baseline, immediately after device placement, 5 minutes after device placement, 5 minutes after pneumoperitoneum, 15 minutes after pneumoperitoneum, and at the end of surgery.
|
Collaboratori e investigatori
Sponsor
Investigatori
- Direttore dello studio: Hatice Selçuk Kuşderci, Samsun University
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Primo Inserito (Effettivo)
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Maggiori informazioni
Termini relativi a questo studio
Altri numeri di identificazione dello studio
- GOKAEK 2026/11/18
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